Dr Jennifer Johnson Kelly, MD is a
Pediatrics physician based in Clarendon, Arkansas. Dr Jennifer Johnson Kelly is licensed to practice in Arkansas (license number E6540) and her current practice location is 245 Madison St, Clarendon, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 747-3381.
NPI number for Dr Jennifer Johnson Kelly is 1649320607 and her current mailing address is 245 Madison St, Clarendon, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649320607.
Physician's Profile
Full Name | Dr Jennifer Johnson Kelly |
---|
Gender | Female |
---|
Speciality | Pediatrics |
---|
Location | 245 Madison St, Clarendon, Arkansas |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649320607
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 04/04/2024
Medical Identifiers
Medical identifiers for Dr Jennifer Johnson Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649320607 | NPI | - | NPPES |
184379001 | Medicaid | AR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | E6540 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Johnson Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jennifer Johnson Kelly, MD 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 | Dr Jennifer Johnson Kelly, MD 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3381 |
Reviews and Comments